DR. PHILIP T ROSKOS (PHD) – Clinical Neuropsychologist, NPI 1821312430

DR. PHILIP T ROSKOS (PHD) is a healthcare provider. based in Southfield, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2008035687 (MO). The NPI Number for DR. PHILIP T ROSKOS (PHD) is 1821312430

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP T ROSKOS (PHD)
NPI
1821312430
Phone
Not provided
Address
26901 BEAUMONT BLVD STE 3D
Enumeration Date
25 March 2010
Last Update Date
30 September 2022

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
4486823945
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20140313001752
Address ID
MI483365970FA28100AVEX400

Contacts

Secure Messaging
proskos111671@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for DR. PHILIP T ROSKOS (PHD)

  • Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 2050 N Haggerty Rd Ste 200

    Canton, MI 481873796

    Phone: (313) 438-7397

    Type: Location

  • 2707 W Jefferson Ave

    Trenton, MI 481832804

    Phone: (734) 692-5903

    Type: Location

  • 17000 Hubbard Dr Ste 800

    Dearborn, MI 481264205

    Phone: (313) 240-7595

    Type: Location

  • 33155 Annapolis St

    Wayne, MI 481842405

    Phone: (734) 467-4134

    Type: Location

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 898-7456

    Type: Location

  • Oakwood Boulevard, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States

    DEARBORN, MI 481244082

    Phone: (313) 982-5150

    Fax: (313) 982-5157

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140313001752IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96116Exam of neurobehavioral status, first hour131131$0
96156Assessment of health behavior2220$0
View full utilization report →

Insurance plans in this area (ZIP 48033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What is the registry number for DR. PHILIP T ROSKOS (PHD)?
The registry entry for DR. PHILIP T ROSKOS (PHD) shows NPI 1821312430.
Quick check: is DR. PHILIP T ROSKOS (PHD) active?
Public NPPES data shows DR. PHILIP T ROSKOS (PHD) with an active NPI status right now.
What services align with DR. PHILIP T ROSKOS (PHD)'s listing?
DR. PHILIP T ROSKOS (PHD)'s public classification highlights Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. PHILIP T ROSKOS (PHD)?
DR. PHILIP T ROSKOS (PHD) shows a connection to Southfield, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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